Engagement in HIV Primary Care Services
| Status: | Completed |
|---|---|
| Conditions: | HIV / AIDS |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/28/2018 |
| Start Date: | October 2004 |
| End Date: | June 2005 |
Determinants of Engagement in HIV Primary Care Services Among Black and Hispanic Single Room Occupancy Hotel Residents in New York City
This study is to look at things that may affect whether or not people who are HIV-infected
get into medical care and stay in medical care. some of the things that will be examined
include how drug use, HIV disease severity, mental health, housing, trust, feelings of
discrimination, social support, relationship with provider, and patient's race and provider's
race are linked with whether or not people get health care. People who are enrolled in the
study will be interviewed once, and their medical records will be examined.
get into medical care and stay in medical care. some of the things that will be examined
include how drug use, HIV disease severity, mental health, housing, trust, feelings of
discrimination, social support, relationship with provider, and patient's race and provider's
race are linked with whether or not people get health care. People who are enrolled in the
study will be interviewed once, and their medical records will be examined.
The purpose of this study is to understand the determinants of entry and engagement in HIV
primary care services for Blacks and Hispanics living in single room occupancy (SRO) hotels
in Bronx and Manhattan, NY. More specifically, the goal is to examine baseline cultural
characteristics of the patient, health-related characteristics of the patient, the
patient-provider relationship, and the impact of community outreach on engagement in health
care. The objectives are to: examine the association between trust, relationship with
provider, social support, and health beliefs with engagement in HIV primary care services;
examine the association between health-related characteristics and engagement in HIV primary
care services; examine the association of perceived cultural concordance between provider and
patient with engagement in HIV primary care services; and, explore the relationship between
community outreach and entry into HIV primary care services.
We will be recruiting a convenience sample of 500 Black or Hispanic HIV-infected adults
living in 14 SRO hotels (transitional emergency housing) in the Bronx and Manhattan, NY. We
will be conducting interviews through auditory computer-assisted self-interviewing (A-CASI)
technology, using standardized research instruments administered in English or Spanish. We
will also be reviewing medical charts and records from Citiwide and Montefiore appointment
databases.
Understanding barriers to engagement in HIV primary care will lead to development of
culturally relevant interventions to assist Black and Hispanic persons in entering and
engaging in HIV treatment. Implementation of these interventions will ultimately help reduce
disparities in HIV-related healthcare, as well as reduce HIV morbidity and mortality in Black
and Hispanic populations.
primary care services for Blacks and Hispanics living in single room occupancy (SRO) hotels
in Bronx and Manhattan, NY. More specifically, the goal is to examine baseline cultural
characteristics of the patient, health-related characteristics of the patient, the
patient-provider relationship, and the impact of community outreach on engagement in health
care. The objectives are to: examine the association between trust, relationship with
provider, social support, and health beliefs with engagement in HIV primary care services;
examine the association between health-related characteristics and engagement in HIV primary
care services; examine the association of perceived cultural concordance between provider and
patient with engagement in HIV primary care services; and, explore the relationship between
community outreach and entry into HIV primary care services.
We will be recruiting a convenience sample of 500 Black or Hispanic HIV-infected adults
living in 14 SRO hotels (transitional emergency housing) in the Bronx and Manhattan, NY. We
will be conducting interviews through auditory computer-assisted self-interviewing (A-CASI)
technology, using standardized research instruments administered in English or Spanish. We
will also be reviewing medical charts and records from Citiwide and Montefiore appointment
databases.
Understanding barriers to engagement in HIV primary care will lead to development of
culturally relevant interventions to assist Black and Hispanic persons in entering and
engaging in HIV treatment. Implementation of these interventions will ultimately help reduce
disparities in HIV-related healthcare, as well as reduce HIV morbidity and mortality in Black
and Hispanic populations.
Inclusion Criteria:
- at least 18 years of age, HIV-infected, living in one of 15 different single room
occupancy hotels in New York City, English or Spanish speaking
Exclusion Criteria:
- HIV-negative
We found this trial at
1
site
Montefiore Medical Center As the academic medical center and University Hospital for Albert Einstein College...
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